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psnet.ahrq.gov/node/45796/psn-pdf
June 29, 2017 - Characteristics of initial prescription episodes and
likelihood of long-term opioid use—United States,
2006–2015.
June 29, 2017
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term
Opioid Use - United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(10):265…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department
TeamSTEPPS Video Debrief Guide: Huddle in Emergency
Department
Video Objective
To demonstrate the benefits of a team huddle to enhance performance and patient safety.
TeamSTEPPS Tool or Concept
Huddle.
Brief Video Description
A multidisciplinary …
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psnet.ahrq.gov/node/38710/psn-pdf
September 14, 2009 - Patient readmissions, emergency visits, and adverse
events after software-assisted discharge from hospital:
cluster randomized trial.
September 14, 2009
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster rando…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-10.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 10: Script for Patient Reminders
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety -Ginsberg
6
Overview of AHRQ’s Patient Safety Priorities and Programs
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality (AHRQ)
AHRQ’s Core Competencies
AHRQ is a …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/112-who-task-evc-monitoring-one-pager.docx
April 01, 2025 - Who Should Take On the Task of Environmental Cleaning Monitoring?
Surgical Services
When planning an environmental cleaning (EVC) monitoring program, it is crucial to decide who should carry out the monitoring. This document evaluates various roles suitable for the task and outlines the advantages and disadvantages.
Ef…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/038-ss-nasal-iodophor-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Iodophor Decolonization Protocol for Staff
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Nasal Iodophor
· Does not require a physician order and can be used for nasal decoloni…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cognitive-task-analysis
January 01, 2023 - Cognitive Task Analysis
Acronym
CTA
Examples
Rinkus SM, Chitwood A. Cognitive analyses of a paper medical record and electronic medical record on the documentation of two nursing tasks: patient education and adherence assessment of insulin administration. AMIA Annu Symp Proc 2002:657-661.
…
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www.ahrq.gov/sops/surveys/hospital/supplemental-items/health-it.html
December 01, 2024 - Health IT Patient Safety Supplemental Items for the SOPS Hospital Survey
The AHRQ Surveys on Patient Safety Culture® (SOPS®) Health Information Technology (Health IT) Patient Safety Supplemental Items for hospitals were designed for use with the core SOPS Hospital Survey to help hospitals assess the extent …
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool11.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 11. Sample Poster
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
Oregon Rural Practice-based…
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www.ahrq.gov/antibiotic-use/ambulatory-care/four-moments/index.html
October 01, 2022 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are critical questions clinicians should be considering when deciding whether to prescribe an antibiotic.
Four Moments Questions
1. Does my patient have an infection that requires antibiotics?
Before …
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_horizon-scan-high_impact-1306-revised.pdf
July 09, 2013 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
R…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medical-tests-proposals_research.pdf
January 01, 2009 - PROPOSALS FOR A PHASED EVALUATION OF
Medical Tests—White Paper Series
Proposals for a Phased Evaluation of
Medical Tests
The findings and conclusions in this document are those of the authors, who are responsible for its
contents; the findings and conclusions do not necessarily represent the v…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - Impact of Health Information Technology on Clinical Care for Patients with Chronic Medical Conditions
Grant Final Report
Grant ID: R01 HS15280
Impact of Health Information Technology
on Clinical Care for Patients with
Chronic Medical Conditions
Inclusive dates: 09/30/04 - 09/29/08
Princi…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
Grant Final Report
Grant ID: 5R18HS017244
Using Electronic Records to Detect and Learn from
Ambulatory Diagnostic Errors
Inclusive Dates: 09/30/08 - 09/30/10
Principal Investigator:
Eric J. Thomas, MD, MPH
* …
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effectivehealthcare.ahrq.gov/sites/default/files/whitepaper3-lijmer02262010-2.pdf
January 01, 2009 - PROPOSALS FOR A PHASED EVALUATION OF
Medical Tests—White Paper Series
Proposals for a Phased Evaluation of
Medical Tests
The findings and conclusions in this document are those of the authors, who are responsible for its
contents; the findings and conclusions do not necessarily represent the v…
-
psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - SPOTLIGHT CASE
Code Status vs. Care Status
Citation Text:
Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX End…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow
Primary Care
Practice Facilitation
Curriculum
Module 10: Mapping and Redesigning Workfow
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Practice Facili…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities
Module 1. Detecting Change in a Resident's Condition
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating C…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …